Organization · NPI-2

Clover Caregivers LLC

In Home Supportive Care · Idaho Falls, ID

NPI number1821960469
StatusActive
Last updated in NPPESSep 23, 2025

Details

NPI
1821960469
Entity type
Organization (NPI-2)
Legal business name
Clover Caregivers LLC
Organization subpart
No
Enumeration date
Sep 23, 2025
Certification date
Sep 22, 2025
Last updated
Sep 23, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
253Z00000X In Home Supportive Care––Yes

Practice location

3872 Apollo Dr
Idaho Falls, ID 83401-1689

Phone 208-502-0011

Mailing address

3872 Apollo Dr
Idaho Falls, ID 83401-1689

Phone 208-502-0011

Authorized official

Preston Poulter
Owner/Care Manager
2085020011

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